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Organization
ISLAND ONCOLOGY HEMATOLOGY ASSOCIATES,P.C.
Active
Organization
ISLAND ONCOLOGY HEMATOLOGY ASSOCIATES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN STAUDTER (OFFICE MANAGER)
(516) 796-1500
Entity
Organization
Contact information
Practice address
3601 HEMPSTEAD TPKE, SUITE 421, LEVITTOWN, NY 11756-1375
(516) 796-1500
(516) 579-1905
Mailing address
3601 HEMPSTEAD TPKE, SUITE 421, LEVITTOWN, NY 11756-1375
(516) 796-1500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
095557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI0367
RAILROAD MEDICARE
NY
Enumeration date
02/06/2008
Last updated
10/15/2009
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